Title :

Management of epithelial cancer of the ovary, fallopian tube, and primary peritoneum. Long text of the joint french clinical practice guidelines issued by francogyn, cngof, sfog, and gineco-arcagy, and endorsed by inca. Part 1: diagnostic exploration and staging, surgery, perioperative care, and pathology

Author(s) :

Lavoue, V. [Auteur]
Huchon, C. [Auteur]
Akladios, C. [Auteur]
Alfonsi, P. [Auteur]
Bakrin, N. [Auteur]
Ballester, M. [Auteur]
Bendifallah, S. [Auteur]
Bolze, P. A. [Auteur]
Bonnet, F. [Auteur]
Bourgin, C. [Auteur]
Chabbert-Buffet, N. [Auteur]
Collinet, P. [Auteur]
Courbiere, B. [Auteur]
De La Motte Rouge, T. [Auteur]
Devouassoux-Shisheboran, Mojgan [Auteur]
Falandry, C. [Auteur]
Ferron, G. [Auteur]
Fournier, L. [Auteur]
Gladieff, L. [Auteur]
Golfier, F. [Auteur]
Gouy, S. [Auteur]
Guyon, F. [Auteur]
Lambaudie, Eric [Auteur]
Leary, A. [Auteur]
Lecuru, F. [Auteur]
Lefrere-Belda, Marie-Aude [Auteur]
Leblanc, E. [Auteur]
Lemoine, Audrey [Auteur]
Narducci, Fabrice [Auteur]
Ouldamer, L. [Auteur]
Pautier, P. [Auteur]
Planchamp, F. [Auteur]
Pouget, N. [Auteur]
Ray-Coquard, I. [Auteur]
Rousset-Jablonski, Christine [Auteur]
Senechal-Davin, Claire [Auteur]
Touboul, C. [Auteur]
Thomassin-Naggara, I. [Auteur]
Uzan, C. [Auteur]
You, B. [Auteur]
Darai, E. [Auteur]

Journal title :

Journal of gynecology obstetrics and human reproduction

Abbreviated title :

J Gynecol Obstet Hum Reprod

Publication date :

2019-03-30

ISSN :

2468-7847

Keyword(s) :

Ovarian cancer
Chemotherapy
Surgery
Primary peritoneal cancer
Tubal cancer
Guidelines

HAL domain(s) :

Sciences du Vivant [q-bio]

English abstract : [en]

An MRI is recommended for an ovarian mass that is indeterminate on ultrasound. The ROMA score (combining CA125 and HE4) can also be calculated (grade A). In presumed early-stage ovarian or tubal cancers, the following ...
Show more >An MRI is recommended for an ovarian mass that is indeterminate on ultrasound. The ROMA score (combining CA125 and HE4) can also be calculated (grade A). In presumed early-stage ovarian or tubal cancers, the following procedures should be performed: an omentectomy (at a minimum, infracolic), an appendectomy, multiple peritoneal biopsies, peritoneal cytology (grade C), and pelvic and para-aortic lymphadenectomies (grade B) for all histologic types, except the expansile mucinous subtypes, for which lymphadenectomies can be omitted (grade C). Minimally invasive surgery is recommended for early-stage ovarian cancer, when there is no risk of tumor rupture (grade B). For FIGO stages III or IV ovarian, tubal, and primary peritoneal cancers, a contrast-enhanced computed tomography (CT) scan of the thorax/abdomen/pelvis is recommended (grade B), as well as laparoscopic exploration to take multiple biopsies (grade A) and a carcinomatosis score (Fagotti score at a minimum) (grade C) to assess the possibility of complete surgery (i.e., leaving no macroscopic tumor residue). Complete surgery by a midline laparotomy is recommended for advanced ovarian, tubal, or primary peritoneal cancer (grade B). For advanced cancers, para-aortic and pelvic lymphadenectomies are recommended when metastatic adenopathy is clinically or radiologically suspected (grade B). When adenopathy is not suspected and when complete peritoneal surgery is performed as the initial surgery for advanced cancer, the lymphadenectomies can be omitted because they do not modify either the medical treatment or overall survival (grade B). Primary surgery (before other treatment) is recommended whenever it appears possible to leave no tumor residue (grade B).Show less >

Language :

Anglais

Audience :

Internationale

Popular science :

Non

Administrative institution(s) :

CNRS
ENSCL
INRA
INSERM
Université de Lille

Collections :

• Protéomique, Réponse Inflammatoire, Spectrométrie de Masse (PRISM) - U1192

Submission date :

2022-06-15T13:59:18Z
2022-06-20T09:35:08Z
2022-08-22T08:53:45Z